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LISA A LYLE FNP
NPI 1366471039
Nurse Practitioner - Family in Rochester, NY

Active since July 03, 2006PECOS Enrolled
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-2575(585) 922-5033 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lisa A Lyle Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA A LYLE FNP (NPI 1366471039) is an individual family provider in Rochester, New York, licensed in New York (F331058) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366471039
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA A LYLECredential: FNP
Location Address1425 PORTLAND AVERochester, NY 14621
Mailing Address1425 Portland AveRochester, NY 14621 · (585) 922-2575 · Fax (585) 922-5033
Phone(585) 922-2575
Fax(585) 922-5033
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateDecember 9, 2022
NPPES CertifiedDecember 9, 2022
✔ NPI 1366471039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F331058
1425 PORTLAND AVE, Rochester, NY 14621
Open in Google Maps ↗

Other Identifiers 6

Other000918223001Health Now
Other109180DLPcare
OtherNP0883NY · Preferred Care
Other7104853NY · Aetna
Other7599537Ghi
OtherP019331058Excellus

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa A Lyle Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Lisa Lyle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rochester General Hospital
0.1 mi
General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1063531929 (585) 922-4000
Western New York Medical Practice P.C.
0.1 mi
Family Medicine
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
NPI 1063790608 (585) 922-1318
The Unity Hospital Of Rochester
0.9 mi
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1457395766 (585) 922-1900
Cornerstone Urgent Care Center LLC
8.9 mi
Urgent Care
2968 CHILI AVE
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1932647955 (585) 207-0088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NIAZ AHMED D.D.S.
Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4000
DR. BRIAN JOHN THOMAS D.O.
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4159
LISA NICOLE FRONCZAK PA-C
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Monroe County (585) 922-4000
ANDREW ROTANDO DO
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-3469
ALEXANDER VAZZANO MD
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4638
AMY BODROG MD
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4020
NUMRA ASLAM BAJWA MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-5067
DR. PRAKASH UPRETI MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (295) 029-8769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Lyle's NPI number?

The NPI number for Lisa Lyle is 1366471039. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Lisa Lyle located?

Lisa Lyle practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-2575.

What is Lisa Lyle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Lyle enrolled in Medicare?

Yes. Lisa Lyle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Lyle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Lyle reassigns Medicare benefits to 4 organizations: Rochester General Hospital (Rochester, NY), Western New York Medical Practice P.C. (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY) and Cornerstone Urgent Care Center LLC (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Lyle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Lyle was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.